Beverly Burt Vicknair, RN

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

RN070442 Issued in LA

Practice address

2550 Florida Blvd SW
Denham Springs, LA 70726-4951

Phone

(225) 667-2792

NPI assigned

Sep 30, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Home Health Professional

  • Home Health Agency
  • Denham Springs, LA
  • NPI 1861678021
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1407006109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 HOMEPORT DR",
            "city": "MAUREPAS",
            "state": "LA",
            "postal_code": "704493043",
            "telephone_number": "225-698-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLORIDA BLVD SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264951",
            "telephone_number": "225-667-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKNAIR",
        "first_name": "BEVERLY",
        "middle_name": "BURT",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "LA",
            "license": "RN070442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Leigh Varvel
• Vascular Advantages of la, LLC
• Valencia Vernon
• Halie Verret, PHARMD
• Silke Verstraten
• Randi Lillian Vicory
• Jessica Vidrine, PHARM.D.
• Dustin Luke Vincent, M.D.
• Rolanda Capitani Vonkurnatowski
• Monica W Vosburg, RN/APN

• Hospice Registered Nurse in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Hospice Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.